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Request an Appointment

New Patients are required to provide insurance information with a date of birth. 
YOU WILL RECIVE A TEXT WITH THE FORMS THAT MUST BE FILLED OUT IF NOT YOU WILL NOT BE SEEN ON THE DAY YOU SCHEDULED FOR.
IF YOU HAVE RECENT X-RAYS PLEASE SEND THEM TO XRAY@CONFIDENTSMILES.NET

Contact information

First Name
Last Name
Phone

Appointment details

Preferred Date
Alternative Date 1
Alternative Date 2
Time
Reason for Appointment
Comments and Questions
Maximum of 250 characters

Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.

151 Waterman St Unit 3
Providence, RI 02906

Mon - Tue: 7:00AM - 2:30PM

Wed: 7:00AM - 2:00PM

Thu: 7:00AM - 2:30PM

Fri - Sun: Closed